Cert Endocrinology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate In Endocrinology And Metabolism Paediatric Exam

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An 8-year-old girl with newly diagnosed Type 1 Diabetes presents in moderate Diabetic Ketoacidosis (DKA) with 8% dehydration but stable blood pressure. According to ISPAD 2022 guidelines, what is the initial fluid resuscitation bolus?

20 mL/kg of 5% dextrose in water as a rapid IV push 10-20 mL/kg of 0.9% sodium chloride over 30-60 minutes 30 mL/kg of Ringer's lactate over 15 minutes 5 mL/kg of 3% hypertonic saline over 10 minutes

Correct Answer:

10-20 mL/kg of 0.9% sodium chloride over 30-60 minutes

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